Primary Hemangiomatous Tumors of Skeletal Muscle

Shallow, Thomas A.; Eger, Sherman A.; Wagner, Frederick B.

doi:10.1097/00000658-194405000-00006

Cited by 79 publications

(25 citation statements)

References 2 publications

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“…The masseter muscle is the most frequent site for such hemangiomas in the head and neck and accounts for approximately 5% of all intramus cular hemangiomas [1]. Because of the rarity of these tumors, their deep location, and unfamiliar presenta tion, inaccurate preoperative diagnosis and inappro priate treatment planning are common problems [2].…”

Section: Introductionmentioning

confidence: 99%

Intramuscular Hemangioma of the Masseter Muscle: Its Characteristic Appearance on Magnetic Resonance Imaging

Okabe

Ishikawa²,

Furukawa³

1991

ORL

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A 10-year-old girl presented with a 6-month history of right facial swelling. Magnetic resonance imaging (MRI) revealed a tumor in the masseter muscle. On exploration through a preauricular incision, a vascular mass was found located in the lateral aspect of the right masseter muscle. The characteristic MRI appearance of the intramuscular hemangioma of the masseter muscle is shown and the value of MRI for a preoperative differential diagnosis is discussed.

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Section: Introductionmentioning

confidence: 99%

Intramuscular Hemangioma of the Masseter Muscle: Its Characteristic Appearance on Magnetic Resonance Imaging

Okabe

Ishikawa²,

Furukawa³

1991

ORL

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“…2,5,24,31,32 Intramuscular vascular anomalies were first described in 1843 and historically have been described as ''intramuscular hemangiomas'' or ''skeletal hemangiomas.'' 31 However, using the current ISSVA classification system, most of these cases were likely vascular malformations. 20 Despite the new ISSVA classification system, the old terminology continues to persist within the medical community.…”

Section: Discussionmentioning

confidence: 99%

Intramuscular Vascular Malformations

Mautner

Sussman

2014

Am J Sports Med

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Intramuscular vascular malformations are a rare subset of vascular lesions and present a considerable diagnostic challenge. The majority of vascular lesions are initially misdiagnosed 17,20,31 and are often attributed to more common musculoskeletal disorders. 14,30,38 Sports medicine practitioners need to be familiar with intramuscular vascular malformations because up to 20% of cases have symptoms of exertional leg pain. 20 Exertional leg pain, a common symptom seen by sports medicine practitioners, is defined as exercise-related leg pain distal to the knee and proximal to the talocrural joint. Depending on the study methodology, exertional leg pain has an incidence of 12.8% to 82.4% in athletes. 29 Although a comprehensive review of exertional leg pain is beyond the scope of this report, the differential diagnosis is broad and includes musculoskeletal, vascular, and neurologic etiologies (Table 1).Here we present a case of intramuscular venous malformation in the flexor digitorum longus muscle in a 15-yearold female runner with exertional leg pain. Treatment options for intramuscular venous malformations include observation, sclerotherapy, or surgical resection. Although a variety of different sclerosing agents have been described in the literature, to our knowledge, this is the first report of doxycycline sclerotherapy for intramuscular venous malformations. CASE REPORTA 15-year-old female runner presented with a 1-year history of exertional leg pain that gradually began while training for cross-country running. There was no associated trauma. Since initially developing symptoms, the patient had proceeded to participate in cross-country running, basketball, and lacrosse at her high school.Initially the pain was present only during running, but it progressed so that the patient started experiencing pain when walking and then eventually at rest. The pain localized to the left anteromedial lower leg. The patient reported associated left lower extremity swelling, occasional numbness and tingling in all 5 toes, and intermittent nondisabling low back pain. Her medical history was not significant.When symptoms first occurred 1 year prior, the patient initially saw an orthopaedic surgeon. At the time, a radiograph of the left lower extremity was obtained, with normal results. The patient was treated for a presumptive tibial stress fracture with a walking boot, but after 6 weeks of nonoperative management, the patient remained symptomatic. She was started on diclofenac, with minimal relief, and was prescribed physical therapy. Attempts at stretching, strengthening, and soft tissue manipulation worsened the patient's symptoms, and therapy was discontinued after only a few sessions.Further workup, including magnetic resonance imaging (MRI) of the lumbar spine and MRI of the left lower extremity without contrast, demonstrated normal results. Compartment pressure testing was performed with a handheld compartment pressure-testing device (Stryker Corporation) and was normal (before exercise: anterior = 11 mm Hg, lateral = 13...

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“…Loss of function is a common complaint and may eventually lead to the formation of contractures and physical deformity. 6 Plain x-rays sometimes image phleboliths and this is especially so for cavernous hemang i~m a s . '~.…”

Section: -mentioning

confidence: 99%

Intramuscular hemangioma of the sternomastoid muscle

et al. 1990

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Intramuscular hemangiomas of head and neck are uncommon benign tumors. They arise most frequently in the masseter muscle and may present a diagnostic problem. The clinical presentation is usually that of a slowly enlarging intramuscular mass. The recurrence rate is high following enucleation. A case of a rapidly evolving sternomastoid hemangioma is described which presented in unusual circumstances. The angiographic appearances of this tumor were diagnostic, and the lesion was subsequently resected completely together with a cuff or normal muscle.

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Primary Hemangiomatous Tumors of Skeletal Muscle

Cited by 79 publications

References 2 publications

Intramuscular Hemangioma of the Masseter Muscle: Its Characteristic Appearance on Magnetic Resonance Imaging

Intramuscular Hemangioma of the Masseter Muscle: Its Characteristic Appearance on Magnetic Resonance Imaging

Intramuscular Vascular Malformations

Intramuscular hemangioma of the sternomastoid muscle

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